| Connecticut Dental Professionals, P.c. | |
|
111 East Ave Ste 200 Norwalk CT 06851-5014 | |
| (203) 866-8585 | |
| Not Available |
| Full Name | Connecticut Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 East Ave Ste 200, Norwalk, Connecticut |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Dental Professionals, P.c. 111 East Ave Ste 200 Norwalk CT 06851-5014 Ph: () - | Connecticut Dental Professionals, P.c. 111 East Ave Ste 200 Norwalk CT 06851-5014 Ph: (203) 866-8585 |
| NPI Number | 1104387489 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104387489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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